NPI: 1720155591 · LOUISVILLE, KY 40219 · Dental Clinic/Center · NPI assigned 11/29/2006
| Authorized Official | MORTENSON, OWEN (DENTIST OWNER) |
| NPI Enumeration Date | 11/29/2006 |
Other providers sharing the same authorized official: MORTENSON, OWEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| MORTENSON FAMILY DENTAL | LAGRANGE | KY | $2.84M |
| MORTENSON FAMILY DENTAL | LOUISVILLE | KY | $2.80M |
| MORTENSON FAMILY DENTAL | SHEPHERDSVILLE | KY | $2.18M |
| MORTENSON FAMILY DENTAL CENTER-CORYDON,PLLC | CORYDON | IN | $1.67M |
| MORTENSON FAMILY DENTAL CTR-JEFFERSONVILLE | JEFFERSONVILLE | IN | $1.07M |
| MORTENSON FAMILY DENTAL | LOUISVILLE | KY | $604K |
| MORTENSON FAMILY DENTAL | LOUISVILLE | KY | $143K |
| MORTENSON FAMILY DENTAL | NEW ALBANY | IN | $112K |
| MORTENSON FAMILY DENTAL CENTER-FLORENCE,PLLC | FLORENCE | KY | $110K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 699 | $17K |
| 2020 | 460 | $8K |
| 2023 | 39 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 197 | 188 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 166 | 159 | $4K |
| D0140 | Limited oral evaluation - problem focused | 127 | 122 | $4K |
| D0274 | Bitewings - four radiographic images | 128 | 125 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 311 | 292 | $2K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 28 | 12 | $2K |
| D1110 | Prophylaxis - adult | 42 | 42 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 24 | 14 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 175 | 77 | $649.54 |